The High School Athlete’s Back A discussion of actual cases in the high school setting James Lioy, MA, ATC, CSCS Sturgis High School Sturgis, Michigan.

Similar presentations

Presentation on theme: "The High School Athlete’s Back A discussion of actual cases in the high school setting James Lioy, MA, ATC, CSCS Sturgis High School Sturgis, Michigan."— Presentation transcript:

1
The High School Athlete’s Back A discussion of actual cases in the high school setting James Lioy, MA, ATC, CSCS Sturgis High School Sturgis, Michigan

11
Upper Extremity Numbness/ Tingling after contact Chronic over years

12
History  14 year old male  Freshman playing JV football  5’3” 140 lbs muscular build  Played rocket football since age 5  Competitive wrestler since age 7  Overzealous father/concerned mother  Mother and father separated  8/09- Observed young man hanging arm after almost every contact during first week of padded practice.  Questioned coaches- they see it daily  Began to question the player.

13
Athlete exam  Considerable weakness in upper extremity on involved side  Pain at midline of cervical spine  Athlete reports Numbness on impact Numbness on impact Tingling down arm Tingling down arm Cannot move arm Cannot move arm Been occurring in wrestling and football for years Been occurring in wrestling and football for years  Athlete was honest and seemed scared  First impression was brachial plexus stretch

14
Course of Action CCCCalled and informed father of my findings WWWWhat do you think he said? ““““Oh yea he has had this for a couple of years in wrestling and football.” EEEExplained to him a sense of urgency to see a neurologist for a definitive diagnosis. IIII was surprised/relieved with his response.

29
Conclusions  Improper sizing/fitting of back packs could cause long term postural changes and muscle spasms in students.  Scoliosis predisposes student athletes to chronic conditions of the spine pre screening will assist in identification of those students with higher risks. pre screening will assist in identification of those students with higher risks.  Early diagnosis of unexplained back pain could alleviate long term issues. We are on the front lines We are on the front lines  Wrestlers do get dropped on their heads  With our assistance- high school athletes with back injuries have a good chance to continue high level activity.  Injury management is the key.